Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | SP024567 | PA |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | RN115405-AP06437 | LA |
NPI | 1154610434 |
---|---|
Provider Name | Amy Lopez Rhoades |
First Address | York, PA 17402-9001 |
Second Address | Chambersburg, PA 17201-1720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2011 |
Last Update Date | 18/10/2021 |